| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.80 | $16.80 | $100.86 | |
BCBS
| Professional | $52.81 | $52.81 | $52.81 | |
Cigna
| Facility | $36.21 | $56.78 | $56.78 | |
Cigna
| Professional | $36.21 | $56.78 | $56.78 | |
Providence
| Facility | $27.14 | $54.08 | $56.78 | |
Providence
| Professional | $37.29 | $42.62 | $56.82 | |
United
| Professional | $21.95 | $24.28 | $41.58 |